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Organization

ELK CITY UNITED DRUG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE BAKER (MGR)
(580) 225-1600
Entity
Organization

Contact information

Practice address
2700 W 3RD ST, ELK CITY, OK 73644-4320
(580) 225-1600
(580) 225-2810
Mailing address
2700 W 3RD ST, ELK CITY, OK 73644-4320

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
351715
OK
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3709562
OTHER ID NUMBER-COMMERCIAL NUMBER
05
90003910015
OK
Enumeration date
09/25/2006
Last updated
09/11/2025
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